Screening


Thank you for your interest in my services. If you are interested in therapeutic services, please take time to answer my screening questions. Doing so will help me determine whether my services are a good fit for your needs:

What is your name please? How old are you?

What is your height and weight?

What is your favorite form of exercise? How often do you exercise?

Do you smoke? If so, how much and what?

Do you drink? If so, how often?

Do you take recreational drugs? If so, how often and what is your drug of choice?

Are you taking any prescription drugs? What is it for? Is it working for you?

Do you do anything to consciously develop yourself spiritually?

Are you in a relationship? If so, how long have you been in that relationship?

Do you know if your partner is orgasmic?

How do you hope your relationship will benefit by spending time with me?

How do you hope to benefit personally from spending time with me?

Do you have any children? If so, what are the ages and sexes?

Have you been taught how to handle a child’s sexual curiosity in a way that helps and does no harm?

How old were you the first time you had a sexual experience?

Looking back on it today, how do feel about your first sexual experience?

Do you masturbate? If so, how often?

Is it difficult for you to get erection and have an orgasm?

  Are you able to stay on the edge of an orgasm, or does it happen more quickly than you would like?

  Are you circumcised? How do you feel about the size, shape and appearance of your penis?

Do you ever watch pornography? If so, how often?

Is there a specific type of pornography that appeals to you?

Do you have any fetishes?

Is there anything else I need to know in order to be helpful?

How would you like to be contacted for an appointment?

Copy and paste the screening questions into an e-mail.

Send your answer to:

intimate wisdom at g mail dot com




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